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211357 07/31/2012
,\Mf CITY OF CARMEL, INDIANA VENDOR: 355319 Page 1 of 1 i`•0 ONE CIVIC SQUARE MICHAEL KLITZING CHECK AMOUNT: $194.35 o CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE BROWNSBURG IN 46112 CHECK NUMBER: 211357 CHECK DATE: 7/31/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4343000 194 .35 TRAVEL FEES & EXPENSE Carmel ay Parks&Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense Hotel deposit for room 6/29/2012 NRPA Housing 1125-1-00 4343000 Travel Fees & Expenses $194.35 reservation for 2012 NRPA Conf. All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $194.35 Employee Name (print) Michael Klitzing Address 1550 Redsunset Dr. Check payable to: City, St, Zip Brownsburg, IN 46112 Signature: Approved by: Date: 7/042012 Date: Business Services Division,Revised 7-7-08 r.T-74,V FILE: Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request JUL 1 2 2012 BY: I https://onIine.americanexpress.com/myca/estmt/us/print—doc.htmI Transaction Date: 07/02/2012 Mon Transaction Description: NRPA HOUSING 800-906800-906-4213 TX 85428322185 972-349-7300 972-349-7300 .. _ _...... . Amount$: 194.35 Doing ._....... Business As: NRPA HOUSING _..... . ......._. _ ........ .._. ....... ._ ......_. Merchant Address: 6400 INTERNATIONAL PKWY STE 2500 PLANO TX 75093-8215 UNITED STATES ......... ......... Reference Number: 320121860497041508 Category: Business Services-Conferences&Training 1 of 1 7/12/2012 10:22 AM Reservation Acknowledgment https:Honsite2.jaderegistration.coin/hui/?wicket:interface=:8:::: gpy� M ■ CO'hNGRESS and EXPOSITION October 16-18,2012 Anahe£m Convention Center Anahe£m,California Home Program Schedule Registration I Housing Education Travel Volunteer About Exhibitors Sponsors Register I Reserve Hotel Descriptions Amenity Chart Area Map Log Out Reservation Acknowledgement Your reservation is complete and your card has been charged for the deposit.You will soon receive a confirmation by e-mail at the address you provided. Please save the Web ID for the room below—you will need this in order to make changes to or cancel your reservation. An email with the Web ID and details for the room reserved will be sent to the email address provided. Reservation Information Hotel Arrival Sun,Oct 14,2012 DOUBLETREE GUEST SUITES Departure Fri,Oct 19,2012 2085 South Harbor Blvd Average rate $169 Anaheim,CA 92802 Rooms 1 Block Name Occupancy 1 person, 1 bed ATTENDEE KING Cancellation policy 72 Hours Prior To Arrival Deposit policy First Night's Room And Tax;$6.00 Resort Assessment Fee Per Night Room Information—Web ID 30576730 Mr. Michael Klitzing Billing Information CPRE Payment type American Express Assistant Director Carmel Clay Parks&Recreation Card Holder Name Michael W.Klitzing Credit Card Number ****-****-* **-2005 1411 E. 116th Street Expiration Date 0615 Carmel,IN 46032 Security Code 6286 USA 317-573-4018 317-450-1250 mklitzing @carmelclayparks.com pNit.,j Return to Event Page jr( NmionalRetreation 22377 Belmont Ridge Road Ashburn,Ma 20148-4501 800.626.NRPA(6772) ©2011 NRPA AI Rights Reserved �RPA �- t rynd Park,k3sodatiwl _ connect' '., I of 1 6/29/2012 5:37 PM Michael Klitzing From: nrpa @wyndhamjade.com Sent: Friday, June 29, 2012 5:35 PM To: Michael Klitzing Subject: 2012 NRPA Confirmation Contact Information NRPAM Michael Klitzing Carmel Clay Parks&Recreation 1411 E.116th Street CONGRESS Phone:3174501250 and EXPOSMN Fax: �i —�8hr Ziii1a Anaheim Coonventlon Conter AruWnn,C91fomila I NRPA 2012 NRPA 2012 Housing Acknowledgment NRPA Home Thank you for reserving a room for the National Recreation and Park Association 2012 NRPA Conference Congress and Exposition,being held Oct 16-18,2012 in Anaheim,CA.A summary of your housing detail is listed below.If there are any corrections to your name or address Registration as printed,please contact NRPA Housing/Wyndham Jade by either phone 888-385- 8010,or 972-349-5891,or a mail at nrpa(cDwyndhamiade.com. Modify hotel reservation Exhibit Information Hotel Information/Receipt: DOUBLETREE GUEST SUITES yli Travel Resources: 2085 SOUTH HARBOR BLVD ANAHEIM,CA 92802 @ ; 714-750-3000 Weather Room OcclTax Occ/Tax Date Rate Rate Amount ' Anaheim 14-OCT- $169.00 15.00% $25.35 2012 _ e 1-OCT $169.00 15.00% $25.35 mapquestrti 16-OCT- $169.00 15.00% $25.35 2012 17-OCT- a OpenTableo 2012 $169.00 15.00% $25.35 1 8-OCT- $169.00 15.00% $25.35 .� Room Type:SINGLE Check-In Time:03:00 PM Check-Out Time: 12:00 PM Pa rk i deFl�7 V UO3/x:com Special Requests:Non Smoking Special requests are forwarded to the hotel and cannot be guaranteed. Deposit/Receipt:FIRST NIGHTS ROOM AND TAX;$6.00 RESORT ASSESSMENT � r� r FEE PER NIGHT jDatel Payment Type I Name on Card/Check Account Number Deposit Amount sfuhHuhle American Express Michael W.Klitzing """""`2005 $0.00 Cancellation Policy:72 HOURS PRIOR TO ARRIVAL Transportation.. 54�,cu i ty Web ID Number:30576730 Administration Connect With Us Changes?Corrections? 1 To change or modify your reservation,you have 4 easy choices: http://www.wvniade.com/nrpal 2 Phone:888-385-8010(US/Canada)or 972-349-5891 (International) Fax:972-349-7715 Email:nrpa(a)wvndhamiade.com Agents are available 8:00am-6:30pm CST,Monday-Friday Refund Policy All reservations require a deposit in the amount of one night's room and tax for each sleeping room.All hotel reservations must be processed through NRPA Housing/ Wyndham Jade.No reservation will be made without a method of payment to guarantee each room.To avoid losing your hotel deposit,you must cancel your reservation prior to the above stated cancellation policy. Confirmation Numbers Your confirmation(Web ID)number is assigned by NRPA housing,assuring that the hotel will honor the reservation.You may receive another confirmation from the hotel internal confirmation number. -•Hotel Credit/Debit Card Policy ! Please be advised that if you use a debit card at check in,it may be authorized for the I amount of your stay,plus an amount to cover incidentals.The authorization will hold the funds until check out,at which time the amount actually incurred during the stay will be charged.Authorized amounts may take up to 30 days after departure to be released by your bank or financial institution and the hotel or Wyndham Jade will not be responsible for any resulting fees or charges. Reminder:Do not forget to register if you have not done so.Please click here to register. We look forward to seeing you in California! 2 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service,where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. 355319 Klitzing, Michael Terms 1550 Redsunset Dr Date Due Brownsburg, IN 46112 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 6/29/12 Reimb Lodging for NRPA conference $ 194.35 Online employee scheduling 6/27-7/26/12 Total $ 194.35 1 hereby certify that the attached invoice(s), or bill(s)is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 120 Clerk-Treasurer i Voucher No. Warrant No. 355319 Klitzing, Michael Allowed 20 1550 Redsunset Dr Brownsburg, IN 46112 in Sum of$ $ 194.35 ON ACCOUNT OF APPROPRIATION FOR 101 -General Fund PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1125 Reimb 4343000 $ 194.35 1 hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 26-Jul 2012 Signature $ 194.35 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund